Individual
MRS. DYNEEN L HAFICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 MAIN AVE S, PARK RAPIDS, MN 56470-1518
(218) 732-0868
(218) 732-8502
Mailing address
200 MAIN AVE S, PARK RAPIDS, MN 56470-1518
(218) 732-0868
(218) 732-8502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200107
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6G065PA
BLUE CROSS
MN
Enumeration date
02/23/2007
Last updated
07/08/2007
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